| Entity Name: | THE SURGERY & ENDOSCOPY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Sep 2002 (22 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 19 Oct 2021 (3 years ago) |
| Document Number: | L02000024275 |
| FEI/EIN Number | 04-3747286 |
| Address: | 3201 PHYSICIANS WAY, SEBRING, FL 33870 |
| Mail Address: | 3201 PHYSICIANS WAY, SEBRING, FL 33870 |
| ZIP code: | 33870 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205872108 | 2006-06-21 | 2013-06-06 | 3201 PHYSICIANS WAY, SEBRING, FL, 338705447, US | 3201 PHYSICIANS WAY, SEBRING, FL, 338705447, US | |||||||||||||||||||||||||||||||
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| Phone | +1 863-471-0786 |
| Fax | 8634716834 |
Authorized person
| Name | MRS. CINDY KING |
| Role | ADMINISTRATOR |
| Phone | 8634710786 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 1179 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 6E4 |
| State | FL |
| Issuer | MEDICAID |
| Number | 075682200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KING, CINDY | Agent | 3201 PHYSICIANS WAY, SEBRING, FL 33870 |
| Name | Role | Address |
|---|---|---|
| PATEL, PANKAJKUMAR | Manager | 3201 PHYSICIANS WAY, SEBRING, FL 33870 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2021-10-19 | No data | No data |
| LC AMENDMENT | 2018-10-11 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-01-06 | KING, CINDY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-07-10 | 3201 PHYSICIANS WAY, SEBRING, FL 33870 | No data |
| CHANGE OF MAILING ADDRESS | 2006-03-23 | 3201 PHYSICIANS WAY, SEBRING, FL 33870 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-05-05 | 3201 PHYSICIANS WAY, SEBRING, FL 33870 | No data |
| NAME CHANGE AMENDMENT | 2003-02-24 | THE SURGERY & ENDOSCOPY CENTER, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-07-11 |
| ANNUAL REPORT | 2023-01-11 |
| ANNUAL REPORT | 2022-01-03 |
| LC Amendment | 2021-10-19 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-07 |
| ANNUAL REPORT | 2019-01-02 |
| LC Amendment | 2018-10-11 |
| ANNUAL REPORT | 2018-01-03 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
